1-PII+Questionnaire (1).xlsx

XLSX spreadsheet 15 KB Posted

Attached to
Technical Assistance for 21st Century Community Learning Centers Grantees
Solicitation number
USBE-AR27162-RFP
Issued by
Salt Lake County, Salt Lake City, Utah

About this file

This is a Request for Proposals (RFP) questionnaire issued by the Utah State Board of Education (USBE) for the Technical Assistance for 21st Century Community Learning Centers Grantees contract (Solicitation # USBE-AR27162-RFP). The RFP seeks a qualified contractor to develop and sustain a comprehensive professional development and learning system for 70-90 21st Century Community Learning Centers (21st CCLC) afterschool and summer programs throughout Utah. The resulting contract will be awarded to the single responsive and responsible offeror with the highest evaluation score. The contract term is five years, with USBE reserving the right to terminate the contract at any time in accordance with the State of Utah Standard Terms and Conditions.

The maximum contract budget is $1,300,000 for the five-year contract period. The questionnaire document itself is a PII and data collection checklist that requires offerors to identify which student, educator, and parent personally identifiable information (PII) data elements will be used, stored, or collected by their proposed system. Data categories include assessment scores, communications records, conduct data, demographics, enrollment information, special indicators, contact information, student performance metrics, program membership, survey responses, student work products, and educator and parent information. This checklist ensures compliance with data privacy and security requirements for any system handling sensitive educational information.

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Text version

Sheet1

Instructions: Please check which data elements will be used by system and return to USBE
Data TypeData ElementCheck if used by system or provide additional information
Student PIIAssessmentStandardized test score
Observation data
Other assessment data (Please specify)
CommunicationsOnline communications that are captured (emails, blog entries)
ConductConduct or behavioral data
DemographicsDate of Birth
Place of Birth
Gender
Ethnicity or race
Language information (native, preferred, spoken, etc)
Other demographic information (Please specify)
EnrollmentStudent attendance data
Student school enrollment
Student grade level
Assigned educator
Specific curriculum programs
Year of graduation
Other enrollment information (please specify)
Special IndicatorEnglish language learner information
Low income status
Medical alerts /health data
Student disability information
Specialized education services (IEP or 504)
Living situations (homeless/foster care)
Other indicator information-Please specify:
Student Contact InformationAddress
Email
Phone
Name
Student ID Number
Student PerformanceProgram/application performance (typing program-student types 60 wpm, reading program-student reads below grade level)
Student Program MembershipAcademic or extracurricular activities a student may belong to or participate in
Student Survey ResponsesStudent responses to surveys or questionnaires
Student workStudent generated content; writing, pictures etc.
Other student work data -Please specify:
OtherPlease list each additional data element used, stored or collected by your application
Educator PIIEducator informationName
Gender
Date of Birth
Identification number
School assignment
Class assignment
Salary information
License information
Parent PIIParent/Guardian Contact InformationAddress
Email
Phone
Name
Other information (Please specify)
PCICredit CardPCI protected data
Other information (Please specify)

File details come from the government source that posted it. Updated .